| NPI | 1841041514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN CP037215T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P19983) |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-11-21 |